Hombre de 78 años de edad, reside en asilo de ancianos, llega a urgencias, comatoso y con temperatura de 40.3°C. La radiografía de tórax indica neumonía. Se realiza una punción lumbar, el LCR tiene un aspecto turbio. Se inoculan muestras de LCR en medio bifásico en el aparato automatizado, el cual arroja la alarma positiva. El subcultivos en agar sangre muestra colonias alfa hemolíticas, catalasa negativa y sensibles a optoquina. En la tinción de Gram se observan cocos grampositivos en pares. ¿Cuál es el posible agente causal?

Afew buddies come over to your house to hang out. they notice you're struggling in school, perhaps you have to rely on to pass your class, but you can't absorb the knowledge. they could positively reinforce getting a tutor and working with you, dedicating more time to the areas of struggle and less on hanging out to better yourself.secondly, say you're the victim of bullying. you're afraid to tell an adult because of possible repercussions from the bully himself. your friends encouraging you and pushing you towards telling an adult for your safety is another example.